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... in developing a robust integrated care delivery model that integrates insurance ... insurance with high value health care services, such as Primary Care, Home Care, and Pharmacy. Humana is..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Boston Massachusetts ... Boston Massachusetts Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
Description The Director, Strategy Advancement provides data-based strategic ... along the way. Responsibilities The Director, Retail Strategy & Product Advancement ... and insights working within a Managed Care Plan. An..
Job Information Humana Director, Medicaid Strategic Solutions in Boston ... resources to achieve growth The Director, Medicaid Strategic Solutions is an ... Solutions is an experienced health care strategist with..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... operations. The Behavioral Health Medical Director work assignments involve moderately complex ... Business's..
PURPOSE AND SCOPE:Responsible for leading the operations function of the compensation team including compensation data, systems, processes, analytics, compliance, as well as the related policies and programs. Develops and implements strategies ..
Description The Medical Director's primary responsibility is the review ... given service or level of care. The Medical Director's work assignments involve moderately complex ... of health. Responsibilities The Medical..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline ... external vendors and providers. The Director, Pharmacy Clinical Trend and Pipeline ... broad understanding of pharmacy and managed care to..
Description Humana is seeking a Director of Strategy with significant strategy consulting experience to manage and deliver strategy projects and analysis on behalf of our Medicare Prescription Drug Plan business. You'll ..
... services from short-term to long-term care and a wide variety of ... services. We are changing how care is delivered by bringing together ... team as a nursing center..
Description The Director, Pharmacy Clinical Pipeline oversees the ... and finance teams. Responsibilities The Director, Pharmacy Pipeline requires a broad ... broad understanding of pharmacy and managed care to develop..
Description The Associate Director, Clinical Pharmacy monitors drug development ... stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ... improve health outcomes. The Associate Director, Clinical..
Job Information Humana Director, Behavioral Health Network & Market ... in Boston Massachusetts Description The Director, Behavioral Health (BH) Network and ... analysis of member access to care gaps. Support..
Description The Director, Corporate Communications develops and coordinates ... communication outside the department. The Director, Corporate Communications requires an in-depth ... function or segment. Responsibilities The Director of Home Care,..
Description Humana's Primary Care Organization (PCO) is seeking a ... anywhere in the U.S. This marketing professional is responsible for the ... responsible for the implementation of marketing strategies, campaigns..
Job Information Humana Director, Contract Tools, Education, Processes (remote ... in Boston Massachusetts Description The Director, Contract Tools, Education, Processes manages ... best in class knowledge. The Director, Contract Tools,..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Boston Massachusetts Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
... dialysis services and outstanding patient care to the community. Responsible for ... of customer service, quality patient care, marketing of RRI and responsible fiscal ... provision of outstanding quality..
Description The Director, Pharmacy Clinical Formulary and Medical ... the formulary strategies. Responsibilities The Director, Pharmacy Clinical Formulary and Medical ... a broad understanding of pharmacy, managed care, PBM, market..
Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Business's (HGB) Behavioral Health Medical Director will provide..
... delivery process. The National Medicaid Director of Clinical Strategy and Practice ... community within the enterprise. The Director of Clinical Strategy has direct ... direct responsibility for establishing the..
Description The Medical Director actively uses their medical background, ... requested services, requested level of care, and/or requested site of service ... daily work. Responsibilities The Medical Director's work includes..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... daily work. Responsibilities The Medical Director provides medical interpretation and decisions ... Summary The Behavioral Health Medical Director's..
